RAC, UPIC, and MAC audits are increasing for dermatology practices — especially those billing Mohs, skin substitutes, and SRT. Master Billing provides pre-audit risk assessment, full audit response management, and ALJ appeals representation to protect your revenue.
Automated and complex medical review of claims submitted within the last 3 years. High frequency for derm practices billing Mohs, skin substitutes, and E/M services. We respond with clinical documentation packages designed to withstand technical and clinical scrutiny.
The most serious audit type — UPIC investigations can lead to prepayment review, program exclusion, and referral to OIG. We provide documentation alignment audits before they request records and manage the full response process if a UPIC investigation begins.
Medicare Administrative Contractors conduct periodic targeted reviews of high-utilization codes. Dermatology practices are regularly targeted for Mohs, skin substitutes, and biopsies. We conduct proactive LCD compliance checks to reduce targeting probability.
Most billing vendors only help after you've already received a demand. We provide three layers of protection — reducing the probability of audit targeting, managing it when it happens, and winning at the appeal stage if needed.
Every day you wait is a day closer to their deadline. Contact us today — we'll review your situation and tell you exactly where you stand.